Cluster of Laslett | Sacroiliac Joint Pain Provocation

This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The Cluster of Laslett is a pain provocation cluster for the sacroiliac joint. Unilateral back pain presenting below spinal level L5 with referred pain to the buttock and thigh may be indicative of low back pain originating from the SI joint.

Articles:

[Memorieskshmr]

1:➡️Distraction test
2:➡️Thigh thrust test
3:➡️Compression test
4:➡️Sacral thrust test

[daniellemccarter]

You guys are so smart the hand behind the si and pressing down is the best way to test for si pain. I’m a severe sufferer and have been telling these American Drs but they won’t listen and I’m American. American medical field just doesn’t care anymore they are too overwhelmed too many ppl. This is the best video of tests that I’ve seen and I’ve watched 3000 videos at least.

[gw]

I love how the thumbnail makes him look a little like Aang doing some airbending but on a man's leg

[azithromycin]

I m from Thailand .Thank for making these video, smart posture and great explanation .

[daaaaavidtan]

Thank you from Taiwan 🇹🇼
Nice video and model🥰

[AbiliTV]

I have to say that I have been suffering from SI-Joint pain since 1995 due to a work accident. The impact with the corner point of a tombstone was what stopped my falling over as it hit my left SI-Joint or directly over it. What I guess after 12 years misdiagnosis, over time what nerves could regenerate may have grown through the space made by the impact as it spread my SI Joint apart. Now the nerve or nerves are being squeezed between the SI Joint's cartilage this does damage the nerves rather it is like a hard handshake... And the damaged area is on the front as we discovered after a RFA radio frequency ablation that sadly did not work for me. If you did these tests on me, my left leg would likely recoil up and my upper body would go into the fetal position simultaneously faster than I can blink. With a lot of force behind it. I am at level 8 out of 10 pain, and the pain fluctuates daily. It has taken me decades to get to this point where i can communicate better. Memory is shot, but I keep trying. At level ten I usually pass out from the pain. I may be out for seconds, or hours. Depends on how long it takes the nerve to settle back down, or the SI Joint to shift/move or unlock. Thank you for you videos. I use a wheelchair in order to safely get around as the pain makes it so standing is dangerous for me and others around me. 14 years full time in a wheelchair now, and 13 years since I had a drivers license, not safe to drive when the si joint goes off... I end up face planted into the steering wheel, and the left knee pinned under the steering wheel. Not a great position to be in. I explained for years to doctors what happened when and what I experience and 12 years these doctors pretty much thought SCIATICA. Thank for the videos they need to be seen by more back specialists and such.

[DonSamurai]

omg you saved my life. greets from germany

[copito_-]

If 2 positive tests come out, and in addition the patient presents pain in the groin region when maximum hip flexion is performed passively, what tests would be indicated for the coxofemoral joint? thank you

[jonathanj]

This video makes me want to go to the gym.

[samippudke]

All test are nagative for me, but if you whole hip a side lil bit pain across.

[maxeriksson]

Is there any recommendation if and when you should avoid any of these tests on womens that are pregnant?

[gerbomivo]

With the diagram at the end, what is the point for the "Compression test positive?" ? We could just remove this one right?

[themassagedoula]

And what if both sides are symptomatic?

[leonscholten]

You describe the test @ laslett on the symptomatic side. But didn't you mean a-symptomatic side? i tought vd wurff was standing on the symptomatic side, and all laslett's test on the a-symptomatic side?
thanks for your videos. they help a lot!!

[jeffreyjue]

@physiotutors first off, this is a great channel for a student like myself! I learned that Laslett's cluster included Gaenslen's test, was that not part of the literature you guys examined?

[question-ptsy]

did you cavitate / create a crack at 2: 41 for that sacral thrust test?

[johnmarathon]

I have si joint pain did all these provocation tests they all came out negative what are the chances of still having SIJ pain even tho the provocation test still negative?

My physiotherapist saids I have a herniated disc but my pain is right on the si dimple on one side could it be referral pain from a herniated disc?

[DCypher]

I thought the cluster of tests were 5, including Gaeslann's?

[anamikapudasaini]

Could you please give the reference for the flowchart. Thank you

[Healthiswealthto]

Can you please suggest me a good book for electrotherapy ????
Help In practice physios